A tool making use of a public health bag through which the nurse, during his /her home visit can perform nursing procedure with ease and deftness, saving time and effort with the end in view of rendering effective nursing care.
To render effective nursing care due to clients and/or members of the family during home visits.
- The use of the bag should minimize if not totally prevent the spread of infection from individuals to families, hence, to the community.
- Bag techniques should save time and effort on the part of the nurse in the performance of nursing procedures.
- Bag technique should not overshadow concern for the patient rather should show the effectiveness of total care given to an individual or family.
- Bag techniques can be performed in variety of ways depending upon agency policies, actual home situation, etc. as along as principles of avoiding transfer of infection is carried out.
> Paper Lining
> Extra paper for making bag for waste materials (paper bag)
> Plastic / linen lining
> Apron > 1 pair of rubber gloves
> Hand towel in plastic bag > 2 test tubes
> Soap in soap dish > Test tube holder
> Thermometers in case (one oral and rectal)
> 2 pairs of scissors (1 surgical and 1 bandage)
> 2 pairs of forceps (curved and straight)
> Syringes (5ml and 2 ml)
> Hypodermic needles g 19, 22, 23, 25
> Sterile dressings > Betadine
> Sterile cord tie > 70 % alcohol
> Adhesive plaster > Ophthalmic ointment
> Alcohol lamp > Zephiran solution
> Tape measure > Hydrogen peroxide
> Medicines > Spirit of ammonia
> Acetic acid > Benedict’s solution
1. Upon arriving of the client’s home, place the bag on the table or any flat surface lined with paper lining, clean side out (folded part touching the table). Put the bag’s handles or strap beneath the bag.
Rationale To protect bag from contamination.
2. Ask for a basin of water and glass of water if faucet is not available. Place these outside the work area.
Rationale To be used for washing. To protect the work field from being wet.
3. Open the bag, take the linen/plastic lining and spread over the work field or area. The paper lining, clean side out (folded part out).
Rationale To make a non-contaminated work field or area.
4. Take out hand towel, soap dish and apron and place them at one corner of the work area (within the confines of the linen/plastic lining)
Rationale To prepare for hand washing.
5. Do hand washing. Wipe, dry with towel. Leave the plastic wrappers of the towel in soap dish in the bag.
Rationale Hand washing prevents possible infection from care provider to the client.
6. Put on apron right side out and wrong side with the crease touching the body, sliding the head into the neck strap, neatly tie into straps at the back.
Rationale To protect the nurse’s uniform. keeping the crease creates aesthetic appearance.
7. Put out things most needed for the specific case (example thermometer, kidney basin, cotton ball, waste proper bag) and place at one corner of the work area.
Rationale To make them readily accessible.
8. Place waste paper bag outside of work area.
Rationale To prevent contamination of clean area.
9. Close the bag.
Rationale To prevent contamination of bag and contents.
10. Proceed to the specific nursing care of treatment.
Rationale To give comfort and security, maintain personal hygiene and hasten recovery.
11. After completing nursing care treatment, clean and alcoholize the thing used.
Rationale To avoid microbes.
12. Do hand washing again.
Rationale To promote caregiver and prevent spread of infection to others.
13. Open the bag and put back all articles in their proper places.
Rationale To keep it organized.
After care: before keeping all articles in the bag, clean and alcoholize them.
Kozier, Barbara, et.al. Fundamental of Nursing. Philippines: Pearson Education South Asia PTE LTD 2004